Spina Bifidalı Gebede Sezaryen Doğum İçin Anestezi Uygulaması; Bir Olgu Raporu

Yıl 2023, Cilt: 37 Sayı: 2, 225 - 230, 06.09.2023

Faruk Furkan Bank Büşra Manduz Yavuz Onur Yavuz Bahar Kuvaki

https://doi.org/10.18614/deutip.1269921

Öz

Spina bifidalı hastaların gebe kalması dünya genelinde nadir bir durumdur. Bu hastalarda obstetri ve anestezi ekipleri arasında tam işbirliği, ayrıntılı hasta muayenesi ve gerekli açıklamaların iyi yapılması elzemdir. Bu olguda; hastanemizde elektif sezaryen planlanan nöral tüp defektli hastanın anestezi yönetimine yönelik yaklaşımımızı belirlemek için yaptığımız araştırmada, konu ile ilgili literatürün az sayıda olması nedeniyle benzer hastalar için her deneyimin bir katkı olabileceğini ve paylaşılması gerektiğini düşündük.

Anahtar Kelimeler

Genel anestezi, sezaryen doğum, spina bifida

Anesthesia Management for Cesarean Delivery in Pregnant Women with Spina Bifida; A Case Report

Öz

Patients with spina bifida to become pregnant is rare condition in worlwide. A thorough examination and explanation of the patient in terms of obstetrics and anesthesia is essential at every step of the management of these patients. Both clinics need to work cooperatively. Data on these cases are scarce in the literature. Each experience brings a contribution to the literature. We present our approach in terms of anesthesia management of a case with neural tube defect who was delivered by cesarean section in a tertiary center.

Anahtar Kelimeler

General anesthesia, cesarean section, spina bifida

Kaynakça

• 1. Flores AL, Vellozzi C, Valencia D, Sniezek J. Global Burden of Neural Tube Defects, Risk Factors, and Prevention. Indian J Community Health. 2014;26(Suppl 1):3-5.
• 2. Botto LD, Moore CA, Khoury MJ, Erickson JD. Neural-Tube Defects. https://doi.org/101056/NEJM199911113412006. 1999;341(20):1509-1519. doi:10.1056/NEJM199911113412006
• 3. Rietberg CC, Lindhout D. Adult patients with spina bifida cystica: genetic counselling, pregnancy and delivery. Eur J Obstet Gynecol Reprod Biol. 1993;52(1):63-70. doi:10.1016/0028-2243(93)90227-4
• 4. Shepard CL, Yan PL, Hollingsworth JM, Kraft KH. Pregnancy among mothers with spina bifida. J Pediatr Urol. 2018;14(1):11.e1-11.e6. doi:10.1016/j.jpurol.2017.08.001
• 5. Arata M, Grover S, Dunne K, Bryan D. Pregnancy outcome and complications in women with spina bifida. J Reprod Med. 2000;45(9):743-748.
• 6. Ferreira Furtado LM, Da Costa Val Filho JA, Dantas F, Moura de Sousa C. Tethered Cord Syndrome After Myelomeningocele Repair: A Literature Update. Cureus. 2020;12(10):e10949. doi:10.7759/cureus.10949
• 7. Sivarajah K, Relph S, Sabaratnam R, Bakalis S. Spina bifida in pregnancy: A review of the evidence for preconception, antenatal, intrapartum and postpartum care. Obstet Med. 2019;12(1):14-21. doi:10.1177/1753495X18769221
• 8. Chaliha C, Stanton SL. Urological problems in pregnancy. BJU Int. 2002;89(5):469-476. doi:10.1046/j.1464-410x.2002.02657.x
• 9. Jackson AB, Sipski ML. Reproductive issues for women with spina bifida. J Spinal Cord Med. 2005;28(2):81-91.
• 10. Shashikiran, Bala R. Management of kyphoscoliotic pregnant patient presenting with impending respiratory failure – A case report. Journal of Obstetric Anaesthesia and Critical Care. 2021;11(2):112. doi:10.4103/joacc.joacc_92_20
• 11. Barros Silva J. a LN a , RC a , NA a , SL a. Spina Bifida Occulta: A Challenge for Obstetric Anaesthesia?(2017). doi:https://doi.org/10.26226/morressier.58f5b02fd462b80296c9e21b
• 12. O’Neal MA. A pregnant woman with spina bifida: Need for a multidisciplinary labor plan. Front Med (Lausanne). 2017;4(OCT). doi:10.3389/fmed.2017.00172
• 13. Tidmarsh MD, May AE. Epidural anaesthesia and neural tube defects. Int J Obstet Anesth. 1998;7(2):111-114. doi:10.1016/s0959-289x(98)90007-3
• 14. Baydur A, Milic-Emili J. Respiratory mechanics in kyphoscoliosis. Monaldi Arch Chest Dis. 1993;48(1):69-79. Accessed September 7, 2022. https://europepmc.org/article/med/8472069
• 15. Raji HO, Suleiman ZA, Abdulkadir ZA, Abdulrahman A. Case Report Caesarean section in a primigravida with spina bifida occulta and a spinal cord stimulator : Preconception counselling , antenatal care and anesthetic considerations. Published online 2018:192-195. doi:10.4103/TJOG.TJOG
• 16. Kopp SL, Jacob AK, Hebl JR. Regional Anesthesia in Patients with Preexisting Neurologic Disease. In: Regional Anesthesia and Pain Medicine. Vol 40. Lippincott Williams and Wilkins; 2015:467-478. doi:10.1097/AAP.0000000000000179